Study On Cognitive Behavioral Therapy

Evidence-based psychological treatment for late-life anxiety by Ayers et al (2007)
This study looked into evidence-based psychotherapy treatment for anxiety disorders, specifically in old adults (Ayers 2007). The study chose this topic on the backdrop of the knowledge that anxiety is a major problem in older adults and a number of studies have found diversity in prevalence rates.  Research studies have showed that about 38-46% of adults with depression usually suffer from anxiety disorders.  The main method that was employed in the study was a review of literature when the study concentrated on reviewing a number earlier studies that fit in their inclusion – exclusion criteria. The inclusion criteria included participants above the age of 55, participants having complained of anxiety or diagnosed through DSM-IV for anxiety disorders, study design used include a randomized controlled trail where an intervention is compared with wait list, and having used at least one objectively evaluated anxiety outcome measure. Information and studies were retrieved from Cochrane Database, Medline, and PyshInfo. All the studies included in the study were published before 2005 (Ayers 2007, p. 9).
From a total of 77 geriatric anxiety studies, 60 did not meet the inclusion-exclusion criteria or did not provide information that was critical for coding or failed to include the appropriate control conditions. Only 17 studies were used for the final evaluation of the report. The results showed that these studies mainly supported four treatments although some supported more than one methods of treatment. These included cognitive-behavior therapy (10 studies supported cognitive therapy and 9 supported CBT), supportive therapy (3 studies), cognitive therapy (1 study), and relaxation therapy (4 studies) (Ayers 2007, p. 9).  The most important difference between CBT and cognitive therapy from the studies was that CBT included relaxation training and cognitive restructuring while cognitive therapy did not include these components.
This study gives important results as far as use of CBT in old adults is concerned. The study reinforces findings that have widely been documented in other studies as well. Overall, the study has been well presented in subtopics which are easy to understand. Among the strengths of the study is that it reviewed a wide range of literatures which eliminated bias and had strict inclusion-exclusion criteria which ensured that only credible studies were used. One of the weaknesses of the study is that it reviewed literature before 2005 which fails to capture insight into the recent developments in the field. The study could also be limited by aggregate weaknesses in the reviewed studies. The study presents important results that I would not hesitate to apply in my practice.
Cognitive-behavioral therapy for adult anxiety disorders in clinical practice: A meta-Analysis of effectiveness studies by Stewart and Chambless (2009)
This study also reviewed effectiveness of cognitive behavior therapy in reducing anxiety in adults (Stewart 2009).  This study mainly examined whether CBT, that has been tested in well controlled conditions can as well be generalized in less controlled and real world circumstances.
Like the previous study, this study also reviewed literature from earlier studies. This was a meta-analysis study that used previous studies that had utilized CBT for adult anxiety as outlined in the recent DSM-IV criteria. CBT was broadly defined in the study to include any treatment that had a component of cognitive, behavioral exposure, or any combination of the two forms of treatment. However, the study excluded any studies that used brief therapy, comprise of less than 6 sessions, because the effectiveness of such therapies have not been established.  The research also excluded computerized and bibliotherapy as they did not match what was going on in the actual setting.  Also excluded were studies that had utilized psychotropic medication because the interest of the study was in the effectiveness of psychosocial interventions.  All studies were located from PsychINFO using key search words. All journal studies selected were those published between 1995 and 2008 (Stewart 2009, p. 597). A total of 54 potential studies were located from the database while other 15 were located through networking, at the end of search. However, 13 studies were excluded because they failed to meet the set criteria.  Therefore only 56 studies were used for the analysis. The results from the study indicated an inverse relationship between clinical representativeness and the outcomes although the magnitude of the relationship was very small.  The study showed that CBT was effective in relieving anxiety disorder in old patients. CBT resulted to a substantial reduction in symptoms of depression, PSTD, GAD, OCD and social anxiety disorder (Stewart 2009, p. 597).  This means that clinical treatment was more effective than for participants in the waiting list.  However, the study showed an inverse relationship between clinical representation and effect size.
This study is also well arranged in subtopics which can be clearly understood. Like the previous study, among the strengths of this study include use of a various research studies which eliminate the possibility of bias and also used strict inclusion-exclusion criteria. Some of the weaknesses of the study are that it could be limited by aggregate weaknesses in the reviewed studies.  Another weakness of the study was complication interpretation in the use of pretest-posttest analysis.  I have full support for this therapy and I would apply the results in my practice.

Read more: http://www.articlesbase.com/college-and-university-articles/study-on-cognitive-behavioral-therapy-4876258.html#ixzz1OkWuJsNZ
Under Creative Commons License: Attribution
บ้านผลบอล บอลวันนี้